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NPI Code Detail

MEDICARE: DR. JONANTHONY G GAGLIARDI MD

MEDICARE: DR. JONANTHONY G GAGLIARDI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD478175PA

General Provider Information

NPI Number : 1982262804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONANTHONY G GAGLIARDI MD
Provider Business Mailing Address
First Line : 305 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1308
Country : US
Telephone Number : 484-526-1000
Fax Number :
Provider Business Practice Location Address
First Line : 305 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1308
Country : US
Telephone Number : 484-526-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 06/15/2026

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